Pedia Doc Children'S Med Ctr

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PEDIA DOC CHILDREN'S MED CTR

Practice address

3088 Campbellton Rd SW
Atlanta, GA 30311-5410

Phone

(404) 344-2828

Fax

(404) 344-8384

NPI assigned

Oct 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rachelle L. Dennis-SmithNPI 1457308728

Title

MD

Phone

(404) 344-2828

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachelle L Dennis Smith, MD

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1457308728
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1518110451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 CAMPBELLTON RD, SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303115410",
            "telephone_number": "404-344-2828",
            "fax_number": "404-344-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 CAMPBELLTON RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303115410",
            "telephone_number": "404-344-2828",
            "fax_number": "404-344-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIA DOC CHILDREN'S MED CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "DENNIS-SMITH",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "404-344-2828",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine S Peck
• Katylia Peck, RN
• Jennifer Young Pecot, CPNP
• Millicent J Pedersen
• Nicole Pederson
• Pediatric and Adult Surgery Center of Atlanta LLC
• Pediatric Audiology of Atlanta
• Pediatric Cardiology Services LLC
• Pediatric Developmental Services
• Pediatric Ear, Nose, & Throat of Atlanta, PC

• Pediatric Adolescent Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.